| NPI | 1629844485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IA 123257) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IA 123380) |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |